Individual
VERNAE MOORE-THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4301 WAYNE AVE, PHILADELPHIA, PA 19140-1717
(484) 228-1547
Mailing address
4301 WAYNE AVE, PHILADELPHIA, PA 19140-1717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137677
PA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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